Family Medicine
BETWEEN THE LINES REJUVENATION LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1396507984 · enumerated 2024-01-29 · record updated 2024-07-17. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: KRISTA CORBETT NP, Owner · (801) 694-1197
Addresses and phones
- Mailing address 612 CORPORATE WAY STE 2M, VALLEY COTTAGE, NY, 10989-2027 (718) 362-1411 Fax (718) 362-1651 Google Maps Apple Maps OpenStreetMap
- Practice location 1785 E WILSON AVE, SALT LAKE CITY, UT, 84108-2916 (877) 258-6331 Fax (718) 362-1651 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary
- In Home Supportive Care 253Z00000X
In this directory
Locations and evidence
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Practice location
SALT LAKE CITY, UT, 841082916
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.